INTEGRITY HEALTH (NPI# 1083106462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083106462 |
| Entity Type | Organization |
| Organization Name | INTEGRITY HEALTH |
| Other Organization Name | INTEGRITY HEALTH |
| Practice Address |
5605 Old Bullard Rd Ste B Tyler TX 75703 |
| Mailing Address |
212 Old Grande Blvd Ste A200 Tyler TX 75703-4204 |
| Practice Telephone | 9036305595 |
| Practice Fax Number | 9036305599 |
| Mailing Telephone | 2143273186 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-09-17 |
| Authorized Official Name | ROXANNE W. WHEELER (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9365793931 |
| Is Organization Subpart | Y |
| Parent Organization Name | INTEGRITY HEALTH CLINIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Integrity Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417001074 | Integrity Health | Chiropractor | 6250 Westpark Dr Ste 100, Houston, TX 77057-7384 | 2007-01-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Integrity Health | 500 Eldorado Boulevard, Ste 4300, Attn: Legal Services, Broomfield, CO 80021 |
| System for Award Management (SAM) Entities | INTEGRITY HEALTH & EDUCATION | 109 S Woodrow Ln Ste 500, Denton, TX 76205-6328 |
| New York State Corporations | INTEGRITY HEALTH AND LIFE SOLUTIONS INC. | 2024 W Henrietta Rd Ste 3g, Rochester, New York 14623 |
| System for Award Management (SAM) Entities | INTEGRITY HEALTH AND TECHNOLOGY SERVICES, LLC | 2978 Parc Lorraine, Lithonia, GA 30038-1913 |
| Colorado Business Entities | Integrity Health and Wellness | 1730 Blake Street #310, Denver, CO 80202 |
| Connecticut Business Registrations | INTEGRITY HEALTH CARE MANAGEMENT, LLC | 33 Chesterfield Road, Amston, CT 06231 |
| Colorado Business Entities | INTEGRITY HEALTH CONSULTANTS, LLC | 302 Wray Ct., Fort Collins, CO 80525 |
| System for Award Management (SAM) Entities | INTEGRITY HEALTH FOR WELLNESS | 1919 Boulevard St Ste A, Greensboro, NC 27407-4595 |
| Connecticut Business Registrations | Integrity Health Group LLC | 6048 Sand Pines Estates Blvd, Orlando, FL 32819 |
| System for Award Management (SAM) Entities | INTEGRITY HEALTH LLC | 2623 Washington Rd Ste C102, Augusta, GA 30904-5949 |
| Street Address |
5605 OLD BULLARD RD STE B |
| City | TYLER |
| State | TX |
| Zip Code | 75703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427540806 | Advanced Wellness | Physician Assistant | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| 1508318460 | Tyler Integrative Health and Wellness, LLC | Physical Medicine & Rehabilitation | 7062 Highlands Ln, Tyler, TX 75703 | 2016-10-26 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129997 | Elizabeth Niedrauer | Physician Assistant | 2314 S Kennedy Ave, Tyler, TX 75701-5242 | 2020-06-25 |
| 1629489042 | Lifetime Health Center | Physician Assistant | 1420 Wsw Loop 323, Suite 100, Tyler, TX 75701-9347 | 2014-05-20 |
| 1407273428 | East Texas Physician Assistant Services | Physician Assistant | 5380 Old Bullard Rd Ste 600-125, Tyler, TX 75703-3607 | 2014-03-27 |
| 1023356524 | Vitality Center | Physician Assistant | 14444 Eastside Rd, Tyler, TX 75707-6724 | 2013-01-18 |
| 1790029007 | John M Mclean | Physician Assistant | 3700 Mcdonald Rd, Apt 260, Tyler, TX 75701-6253 | 2012-11-27 |
| 1124058524 | David Beck | Physician Assistant | 1133 Medical Dr, Tyler, TX 75701-2130 | 2006-07-03 |
| 1467444141 | Thomas R Scholler | Physician Assistant | 703 S Fleishel Ave, Tyler, TX 75701-2015 | 2005-08-18 |
| 1376535054 | Stephanie S Carter | Physician Assistant | 703 S Fleishel Ave Ste 4000, Tyler, TX 75701 | 2005-08-18 |
| 1992797799 | Matthew M Hand | Physician Assistant | 619 S Fleishel Ave, Suite 101, Tyler, TX 75701-2004 | 2005-08-17 |
| 1518962299 | Nina Beth Partin | Physician Assistant | 910 E Houston St, Ste 550, Tyler, TX 75702-8369 | 2005-06-17 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.